Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 10061 | WA |
NPI | 1043579980 |
---|---|
Provider Name | Dr. Richard Kenneth Ohme |
First Address | Gig Harbor, WA 98335-7610 |
Second Address | Gig Harbor, WA 98335-7610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2012 |
Last Update Date | 13/05/2012 |